Achilles Foot & Ankle Surgery Pc
LBN: Achilles Foot & Ankle Surgery Pc
Achilles Foot & Ankle Surgery Pc is an health care organization with primary practice located at 2108 Lumber Ave Ste 2 , Wheeling WV 26003-5350. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Achilles Foot & Ankle Surgery Pc can be contacted via phone (304) 243-8799, or through Blank, Bruce Gary via phone (740) 633-4188.
Contact Information
Primary practice address
2108 Lumber Ave Ste 2
Wheeling WV 26003-5350
Phone: (304) 243-8799
Fax: (740) 633-4716
Website:
Authorized official contact:
Name: Blank, Bruce Gary Doctor of Podiatric Medicine (DPM)
Phone: (740) 633-4188
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 36002569B | Ohio |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 00239 | West Virginia |
Profile Details
| NPI number | 1619954906 |
|---|---|
| LBN Legal business name | Achilles Foot & Ankle Surgery Pc |
| DBA Doing business as | |
| Authorized official | Blank, Bruce Gary Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Apr 20th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619954906 | NPPES |
| Other | 5125771 | AETNA | |
| MEDICAID | 01756671 | AETNA | |
| MEDICAID | 2006260 | AETNA | |
| MEDICAID | 0099535001 | AETNA |
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